Clinical Decision Support (CDS) Rules

Clinical Decision Support Rule or CDS Rule

A CDS rule is a clinical guideline tool to provide clinicians with evidence-based recommendations or alerts at the point of care. CDS rules aim to improve patient outcomes, enhance patient safety, and reduce healthcare costs and medical errors by providing healthcare providers with timely and relevant information, including medication prescribing, diagnostic testing, disease management, preventive care, and treatment planning. Triggered rules can now be dismissed and a new 'unreviewed' tag has been added. Custom rules can now be viewed, edited, and deleted after creation.

The user must have the Clinical Administrator role to access this tool. If you do not have this role, speak to a Clinical Administrator in your practice, who can assign you the correct permissions within Account Setup.

Navigate to the utility menu. Within Clinical Admin Tools, select Clinical Decision Support.

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Standard rules

The page will open on the Standard Rules tab by default, where you will see eight pre-set CDS rules. Select or deselect as needed.

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Click the information icon to view the following:

  1. Clinical Recommendations
  2. Rationale
  3. References
  4. Feedback

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Clinical Recommendations

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Rationale

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References

Within the References tab, Edit the reference data if necessary.

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Feedback

Within the Feedback tab, Add a comment, Export the comments, or Edit and Delete existing comments.

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Create custom CDS rules

Navigate to the Custom Rules tab.

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Click Add New to create a new custom CDS rule.

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Complete the fields below, and click Save once complete.

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Use the Edit and Delete icons to manage the custom rules.

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Using CDS rules

If a patient meets the criteria, a lightbulb icon displays in the patient dashboard under the patient flags and demographics. 

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The Clinical Recommendations window will display the CDS rules that apply to the patient, and any Rationale and References that apply to the rule(s).

If more than one CDS rule applies, use the page numbers or arrows to navigate to the additional rules.

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Unreviewed rules will be indicated with a tag.

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Dismiss a rule for a set amount of time using the dropdown menu, if necessary.

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Source attributes

The Source Attributes tab provides an area where users can access, record, edit, and/or delete source attributes (notes) for a user-supplied predictive decision support intervention that would be accessible in the FHIR Smart Apps tab of the patient dashboard.

This tab only applies to those using FHIR Smart App integrations. 

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